Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.50 / $2,894.76 / $8,916.56	Facility		$1,437.50	$2,894.76	$8,916.56
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $870.73 / $870.73 / $870.73	Facility	52	$870.73	$870.73	$870.73
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $5,071.00 / $19,991.21	Facility		$2,485.00	$5,071.00	$19,991.21
AllWays Health Partners Facility/Professional Facility Modifier 52 Low / Median / High Price $2,442.64 / $2,442.64 / $16,840.24	Facility	52	$2,442.64	$2,442.64	$16,840.24
AllWays Health Partners Facility/Professional Facility Modifier 62 Low / Median / High Price $1,908.31 / $1,908.31 / $13,156.44	Facility	62	$1,908.31	$1,908.31	$13,156.44
AllWays Health Partners Facility/Professional Facility Modifier AS Low / Median / High Price $305.33 / $305.33 / $2,105.03	Facility	AS	$305.33	$305.33	$2,105.03
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $1,171.82 / $1,909.00 / $7,315.92	Facility		$1,171.82	$1,909.00	$7,315.92
Health New England Facility/Professional Facility Modifier Low / Median / High Price $4,186.56 / $14,471.70 / $23,893.03	Facility		$4,186.56	$14,471.70	$23,893.03
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $6,474.00 / $20,362.00	Facility		$2,485.00	$6,474.00	$20,362.00
Mass General Brigham Facility/Professional Facility Modifier 52 Low / Median / High Price $2,442.64 / $2,442.64 / $16,840.24	Facility	52	$2,442.64	$2,442.64	$16,840.24
Mass General Brigham Facility/Professional Facility Modifier 62 Low / Median / High Price $1,908.31 / $1,908.31 / $13,156.44	Facility	62	$1,908.31	$1,908.31	$13,156.44
Mass General Brigham Facility/Professional Facility Modifier AS Low / Median / High Price $305.33 / $305.33 / $2,105.03	Facility	AS	$305.33	$305.33	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,485.00 / $6,474.00 / $13,737.00	Facility		$2,485.00	$6,474.00	$13,737.00